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DIRECTORY SIGN UP

Use this form to add yourself and your family to the Reveille UMC church directory. Complete the form and upload a photo to be shown with your listing. Please note that all submissions will be reviewed before being added to the directory. Please allow up to one week for new listings to be published.

ENTER YOUR INFORMATION

Full Legal Name (required)

Preferred First Name (required)

Street Address (required)

City (required)

Zip Code (required)

Your Email

Your Home Phone

Your Mobile Phone

Do you have additional adults to include in your family listing?


ENTER ADDITIONAL ADULT INFORMATION

Adult #2 Full Legal Name

Adult #2 Preferred Name

Adult #2 Email Address

Adult #2 Mobile Phone

Do you have additional adults to include in your family listing?


ENTER ADDITIONAL ADULT INFORMATION

Adult #3 Full Legal Name

Adult #3 Preferred Name

Adult #3 Email Address

Adult #3 Mobile Phone

Do you have additional adults to include in your family listing?


ENTER ADDITIONAL ADULT INFORMATION

Adult #4 Full Legal Name

Adult #4 Preferred Name

Adult #4 Email Address

Adult #4 Mobile Phone

Do you have additional adults to include in your family listing?


Do you have any children to include in your family listing?

ENTER YOUR CHILD'S INFORMATION

Child #1 Full Legal Name

Child #1 Preferred Name

Child #1 Birthdate

Child #1 Grade in School
September-May: List child's current grade. June-August: List grade during upcoming school year.

Do you have additional children to include in your family listing? *
List all children who reside with you

ENTER ADDITIONAL CHILD'S INFORMATION

Child #2 Full Legal Name

Child #2 Preferred Name

Child #2 Birthdate

Child #2 Grade in School
September-May: List child's current grade. June-August: List grade during upcoming school year.

Do you have additional children to include in your family listing? *
List all children who reside with you

ENTER ADDITIONAL CHILD'S INFORMATION

Child #3 Full Legal Name

Child #3 Preferred Name

Child #3 Birthdate

Child #3 Grade in School
September-May: List child's current grade. June-August: List grade during upcoming school year.

Do you have additional children to include in your family listing? *
List all children who reside with you

ENTER ADDITIONAL CHILD'S INFORMATION

Child #4 Full Legal Name

Child #4 Preferred Name

Child #4 Birthdate

Child #4 Grade in School
September-May: List child's current grade. June-August: List grade during upcoming school year.

Do you have additional children to include in your family listing? *
List all children who reside with you

ENTER ADDITIONAL CHILD'S INFORMATION

List any other children in your household
For each, include full legal name, preferred first name, birth date, and grade in school.

UPLOAD PHOTO

Upload a photo of yourself/family to include with your directory listing (optional)

All photos will be reviewed prior to publication. If you experience issues uploading your photo through this form, you may email the photo to Terri Edwards, admindirector@reveilleumc.org.

Consent and Release Form with Photo Submission

I hereby authorize Reveille United Methodist Church, located in Richmond, Virginia (“Reveille”), to use, reproduce, and distribute my name, voice, likeness, photograph, and/or any other representation of me in connection with printed materials or other media it distributes, displays, transmits, or exhibits. Such distributions, displays, transmissions, or exhibits may include, but are not limited to, publications, newsletters, magazines, brochures, CD ROMs, websites, social media, and/or videos. I understand that my authorization grants Reveille the right to use, reproduce, and distribute my name, voice, likeness, photograph, and/or any other representation of me without compensation or further notice. I hereby release and discharge Reveille for any and all liability arising out of or relating to the foregoing.

By submitting information on this form, I consent to allow the minor(s) named below to participate in the activities described above and allow the information obtained from the below named minor(s) to be used and shared as described above. I represent and warrant that (i) I am eighteen (18) years of age or older and am legally competent to execute this Consent and Release Form under the laws of my country and (ii) I have the legal authority to represent the below named minor(s).

I understand that the terms herein are contractual and not a mere recital, and that this Consent and Release Form is legally binding on me. I have read and fully informed myself of the contents of this Consent and Release Form before submitting my information and photograph.

Please note: The information below will be used to update the church database and in the online member directory. The online directory is password protected so that only members listed in the directory will have access to the contents.

PLEASE AGREE TO TERMS

I understand that the terms herein are contractual and not a mere recital, and that this Consent and Release Form is legally binding on me. I have read and fully informed myself of the contents of this Consent and Release Form before submitting this information to Reveille United Methodist Church.